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Dentin SensitivityPhase 2NCT02918617

Clinical Efficacy in Relieving Dentin Hypersensitivity of Nanohydroxyapatite-Containing Toothpastes and Cream

A Phase 2 study testing Test toothpaste with nano-HAP (high concentration), Test toothpaste with nano-HAP (low concentration) and Test toothpaste with nano-HAP and (Potassium Nitrate) KNO3 in people with Dentin Sensitivity, run by The University of Texas Health Science Center at San Antonio at 1 site in United States.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
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Trial summary

This study will investigate the effectiveness of nanohydroxyapatite (nano-HAP)-containing toothpastes and cream to relieve dentin hypersensitivity, comparing it with those of a commercial desensitizing dentifrice containing calcium sodium phosphosilicate (Novamin® technology) and a standard fluoride dentifrice… Read more about this study

Who is it for?
Ages 18 to 80 yearsHealthy volunteers can take part
Conditions the study is for
Dentin Sensitivity
What is being tested?
Test toothpaste with nano-HAP (high concentration), Test toothpaste with nano-HAP (low concentration) and Test toothpaste with nano-HAP and (Potassium Nitrate) KNO3
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
203 participants
Where
1 siteUnited States
Study dates
May 2015to Sep 2016
Phase
Phase 2
Are there results?
Yes, posted in the registrySummary in the doctors' view

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 18 to 80 years
  • All sexes
  • Healthy volunteers accepted
  • Adult, Older adult

Who may be able to join

  • Must be between the ages of 18 and 80, inclusive
  • Must be in good general health based on medical history and oral soft and hard tissue examinations
  • Must be willing and able to provide informed consent
  • Must be able to read and comprehend study materials
  • Must have access to a phone for regular study contact
  • Must be willing to use the assigned products according to instructions, and be availability for appointments.
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  • Must have been diagnosed of having dentin hypersensitivity by a dentist, with at least one sensitive tooth with demonstrated cervical erosion/abrasion or gingival recession
  • As a final entrance criteria, the sensitive tooth must respond to:
  • air sensitivity, with Schiff score >1, assessed by use of a one-second blast of air.
  • thermal sensitivity, assessed with frozen cotton pellet, with a pain rating of at least moderate pain on the Dental Pain Scale (DPS) and a score between 30 and 80 mm on a 100 mm scale on the Visual Analog Scale (VAS).

Who cannot join

  • Subjects who answer YES to any of the following questions will not be enrolled into the study:
  • Any history of significant adverse effects following use of oral hygiene products such as toothpastes and mouthwashes?
  • Does the subject have any physical limitations or restrictions that might preclude use of normal oral hygiene procedures (i.e., toothbrushing, mouthrinsing, etc.)?
  • The sensitive tooth is associated with concomitant oral pain due to any other condition such as: soft-tissue lesions or toothache from other dental conditions like dental caries, etc?
  • Has the subject ever reported allergy to drugs or chemicals used in the trial?
  • The sensitive tooth is associated with a periodontal abscess as diagnosed from an X-ray or clinical examination of the tooth?
Show all 24Show fewer
  • Will the subject receive dental treatment which may affect their participation (i.e. oral prophylaxis)?
  • The sensitive tooth is associated with mobility > 1?
  • Did the subject participate in a dental clinical trial involving oral care products within the past 30 days?
  • Is the subject pregnant, nursing or planning to become pregnant during the course of the study (self-reported)?
  • Does the subject have other severe, acute or chronic medical or psychiatric condition or laboratory abnormality that may increase the risk associated with trial participation or may interfere with the interpretation of trial result and, in the judgment of the investigator, would make the subject inappropriate for entry into this trial?
  • Does the subject have significant oral soft tissue pathology, based on the dentist's visual examination and at the discretion of the investigator?
  • The sensitive tooth is associated with gum pain from gingivitis, occlusal trauma, thermal or chemical burns?
  • Patients having pain from periodontal related causes but not dentin hypersensitivity?
  • Previous professional desensitizing treatment?
  • Subject use of over-the-counter desensitizing products within the previous 3 months?
  • Subjects using medication which could interfere with the perception of pain?
  • Eating disorders or conditions associated with vomiting?
  • Systemic conditions that are etiologic or predisposing to dentinal hypersensitivity?
  • Excessive dietary or environmental exposure to acids?
  • The sensitive tooth was restored in the preceding 3 months?
  • The sensitive tooth is an abutment tooth for fixed or removable prostheses?
  • The sensitive tooth has extensive restorations or restoration extending into the test area?
  • Patients below 18 years or above 80 years of age?

Trial locations and contacts

1 site in 1 country.

United States1 site
  • School of Dentistry, University of Texas Health Science Center

    San Antonio, Texas, 78229

Other trials in United States

About this study

This study will investigate the effectiveness of nanohydroxyapatite (nano-HAP)-containing toothpastes and cream to relieve dentin hypersensitivity, comparing it with those of a commercial desensitizing dentifrice containing calcium sodium phosphosilicate (Novamin® technology) and a standard fluoride dentifrice containing 1,500 ppm fluoride as sodium monofluorophosphate (MFP).

Read the detailed description

This is a double-blind, randomized, controlled, parallel group, outpatient clinical trial, involving a total of 270 patients diagnosed with dentin hypersensitivity, who will be randomly assigned to nine treatment groups of 30 patients each. Males or females of age 18 to 80 years will be enrolled. The nine groups will be randomly assigned to use one of the nine test products: (1) toothpaste containing nano-HAP (high concentration); (2) toothpaste containing nano-HAP (low concentration); (3) toothpaste containing nano-HAP and potassium nitrate (KNO3); (4) toothpaste containing NovaMin; (5) standard fluoride toothpaste with 1500 ppm MFP; (6) toothpaste containing nano-HAP (medium concentration); (7) placebo toothpaste; (8) cream containing nano-HAP; (9) placebo cream. Subjects will be instructed to use the study toothpaste as their sole oral hygiene product for the 8 weeks treatment duration while the cream will be applied with a retainer tray for 5 minutes before bed at night. For those using toothpastes, subjects will be instructed to brush their teeth twice daily for 2 minutes, morning and last thing before bed, applying on each occasion a one-inch strip of their assigned toothpaste on a wetted commercially available soft-bristled toothbrush. Dentin hypersensitivity examination, which will include air blast sensitivity and cold thermal sensitivity combined with visual analog scale and Dental Pain Scale, will be conducted at baseline, 2, 4, 6, and 8 weeks. Subjects will be screened for adverse effects on every visit, and all observed adverse events will be recorded when they occur.

Being tested
Control toothpaste containing Novamin® technology, Control toothpaste containing 1500 ppm fluoride as MFP, Test toothpaste with nano-HAP (high concentration), Test toothpaste with nano-HAP (low concentration), Test toothpaste with nano-HAP and (Potassium Nitrate) KNO3
Keywords
dentin hypersensitivity, nanohydroxyapatite, calcium sodium phosphosilicate, toothpaste, tooth cream
Medical subject headings
Dentin Sensitivity

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • Control toothpaste containing Novamin® technologyDrug

  • Control toothpaste containing 1500 ppm fluoride as MFPDrug

  • Test toothpaste with nano-HAP (high concentration)Drug

  • Test toothpaste with nano-HAP (low concentration)Drug

  • Test toothpaste with nano-HAP and (Potassium Nitrate) KNO3Drug

  • Control toothpaste without nano-HAPDrug

  • Test toothpaste with nano-HAP (medium concentration)Drug

  • Test cream with nano-HAP (higher concentration)Drug

  • Control cream without nano-HAPDrug

Study groups in NCT02918617
Study groupRoleWhat they receive
Control toothpaste containing Novamin® technologyActive comparatorParticipants will be instructed to apply a full ribbon of toothpaste to a damp toothbrush. Participants will then brush for 2 minutes followed by rinsing with 15 mL of water. Participants will be instructed not to eat or drink for 30 minutes following brushing. Brushing will be performed twice a day (morning and evening).
Receives: Drug: Control toothpaste containing Novamin® technology
Control toothpaste containing 1500 ppm fluoride as MFPPlacebo comparatorParticipants will be instructed to apply a full ribbon of toothpaste to a damp toothbrush. Participants will then brush for 2 minutes followed by rinsing with 15 mL of water. Participants will be instructed not to eat or drink for 30 minutes following brushing. Brushing will be performed twice a day (morning and evening).
Receives: Drug: Control toothpaste containing 1500 ppm fluoride as MFP
Test toothpaste with nano-HAP (high concentration)ExperimentalParticipants will be instructed to apply a full ribbon of toothpaste to a damp toothbrush. Participants will then brush for 2 minutes followed by rinsing with 15 mL of water. Participants will be instructed not to eat or drink for 30 minutes following brushing. Brushing will be performed twice a day (morning and evening).
Receives: Drug: Test toothpaste with nano-HAP (high concentration)
Test toothpaste with nano-HAP (low concentration)ExperimentalParticipants will be instructed to apply a full ribbon of toothpaste to a damp toothbrush. Participants will then brush for 2 minutes followed by rinsing with 15 mL of water. Participants will be instructed not to eat or drink for 30 minutes following brushing. Brushing will be performed twice a day (morning and evening).
Receives: Drug: Test toothpaste with nano-HAP (low concentration)
Test toothpaste with nano-HAP and potassium nitrate (KNO3)ExperimentalParticipants will be instructed to apply a full ribbon of toothpaste to a damp toothbrush. Participants will then brush for 2 minutes followed by rinsing with 15 mL of water. Participants will be instructed not to eat or drink for 30 minutes following brushing. Brushing will be performed twice a day (morning and evening).
Receives: Drug: Test toothpaste with nano-HAP and (Potassium Nitrate) KNO3
Control toothpaste without nano-HAPPlacebo comparatorParticipants will be instructed to apply a full ribbon of toothpaste to a damp toothbrush. Participants will then brush for 2 minutes followed by rinsing with 15 mL of water. Participants will be instructed not to eat or drink for 30 minutes following brushing. Brushing will be performed twice a day (morning and evening).
Receives: Drug: Control toothpaste without nano-HAP
Test toothpaste with nano-HAP (medium concentration)ExperimentalParticipants will be instructed to apply a full ribbon of toothpaste to a damp toothbrush. Participants will then brush for 2 minutes followed by rinsing with 15 mL of water. Participants will be instructed not to eat or drink for 30 minutes following brushing. Brushing will be performed twice a day (morning and evening).
Receives: Drug: Test toothpaste with nano-HAP (medium concentration)
Test cream with nano-HAP (higher concentration)ExperimentalParticipants will be instructed to brush for 2 minutes morning and evening with a full ribbon of standard fluoride toothpaste. After the evening brushing, participants will then insert custom-made trays loaded with a full ribbon of cream. Participants will be instructed to remove the trays after 5 minutes and expectorate the cream. Participants will be instructed not to eat or drink until the next morning following cream use.
Receives: Drug: Test cream with nano-HAP (higher concentration)
Control cream without nano-HAPPlacebo comparatorParticipants will be instructed to brush for 2 minutes morning and evening with a full ribbon of standard fluoride toothpaste. After the evening brushing, participants will then insert custom-made trays loaded with a full ribbon of cream. Participants will be instructed to remove the trays after 5 minutes and expectorate the cream. Participants will be instructed not to eat or drink until the next morning following cream use.
Receives: Drug: Control cream without nano-HAP

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Percentage Change From Baseline in VAS (Visual Analog Scale) With Air Stimulation

    Patient's response to an air stimulus is recorded on a Visual Analog Scale of 0-100 with 0 representing no pain and 100 representing the worst possible pain.

    Measured: Baseline to 8 weeks

  2. Percentage Change From Baseline in VAS (Visual Analog Scale) With Cold Stimulation

    Patient's response to cold stimulus is recorded on a Visual Analog Scale of 0-100 with 0 signifying no pain and 100 signifying the worst possible pain

    Measured: Baseline to 8 weeks

  3. Percentage Change From Baseline in DPS (Dental Pain Scale) With Air Stimulation

    Patient's response to an air stimulus is recorded on a Dental Pain Scale (none[1]-mild[2]-moderate[3]-severe[4]).

    Measured: Baseline to 8 weeks

  4. Percentage Change From Baseline in DPS (Dental Pain Scale) With Cold Stimulation

    Patient's response to an cold stimulus is recorded on a Dental Pain Scale (none[1]-mild[2]-moderate[3]-severe[4]).

    Measured: Baseline to 8 weeks

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted29 Sep 2016 (estimated)
  2. Study startMay 2015
  3. Primary completionSep 2016
  4. Study completionSep 2016

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase 2
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Masking
Triple blind
Who is masked
Participant, Investigator, Outcomes assessor
Enrolment
203 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT02918617
Sponsor's protocol ID
HSC20150221H
Status last verified
Oct 2018
First submitted
13 Sep 2016
Last updated
16 Nov 2018
Data monitoring committee
No
Individual data sharing
No

Publications

  • Clark GE, Troullos ES. Designing hypersensitivity clinical studies. Dent Clin North Am. 1990 Jul;34(3):531-44.

    PubMed 2197126
  • Gillam DG, Bulman JS, Jackson RJ, Newman HN. Efficacy of a potassium nitrate mouthwash in alleviating cervical dentine sensitivity (CDS). J Clin Periodontol. 1996 Nov;23(11):993-7. doi: 10.1111/j.1600-051x.1996.tb00526.x.

    PubMed 8951626
  • Kakar A. A novel computer program for visual analogue scale (VAS). Journal of Dental Research 88 (Special Issue A): 1952, 2009.

  • Huskisson EC. Measurement of pain. Lancet. 1974 Nov 9;2(7889):1127-31. doi: 10.1016/s0140-6736(74)90884-8. No abstract available.

    PubMed 4139420
  • Orro M, Truong T, De Vizio W, Miller S, Chu TC, Boylan D. Thermodontic stimulator--a new technology for assessment of thermal dentinal hypersensitivity. J Clin Dent. 1994;5 Spec No:83-6.

    PubMed 8534379
  • Schiff T, Dotson M, Cohen S, De Vizio W, McCool J, Volpe A. Efficacy of a dentifrice containing potassium nitrate, soluble pyrophosphate, PVM/MA copolymer, and sodium fluoride on dentinal hypersensitivity: a twelve-week clinical study. J Clin Dent. 1994;5 Spec No:87-92.

    PubMed 8534380
  • Ayad F, Ayad N, Delgado E, Zhang YP, DeVizio W, Cummins D, Mateo LR. Comparing the efficacy in providing instant relief of dentin hypersensitivity of a new toothpaste containing 8.0% arginine, calcium carbonate, and 1450 ppm fluoride to a benchmark desensitizing toothpaste containing 2% potassium ion and 1450 ppm fluoride, and to a control toothpaste with 1450 ppm fluoride: a three-day clinical study in Mississauga, Canada. J Clin Dent. 2009;20(4):115-22.

    PubMed 19831164

Questions about this trial

What is this clinical trial studying?

A Phase 2 study testing Test toothpaste with nano-HAP (high concentration), Test toothpaste with nano-HAP (low concentration) and Test toothpaste with nano-HAP and (Potassium Nitrate) KNO3 in people with Dentin Sensitivity, run by The University of Texas Health Science Center at San Antonio at 1 site in United States.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 10 inclusion and 24 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: finished, as of the sponsor's last update on 16 Nov 2018. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 1 site in United States. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. Some participants in this study may receive a placebo. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

What does this phase mean?

Phase 2 studies give the treatment to a larger group to see whether it has the intended effect and to keep checking safety.

Not every study follows the same path, and some studies (observational studies, device studies) have no phase.

Are results available for this study?

Yes. Results are posted in the registry (first posted 16 Nov 2018). A summary is in the For doctors view, and the full results are on ClinicalTrials.gov.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Percentage Change From Baseline in VAS (Visual Analog Scale) With Air Stimulation (time frame: Baseline to 8 weeks). The study lists 4 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT02918617, which also lists 7 linked publications.

Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 16 Nov 2018.

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